APPLICATION FOR: ( ) MANAGER NAME ADDRESS PHONE CELL TEAM MANAGER NAME

( ) COACH

( ) ASST. COACH

WORK PHONE EMAIL (for coaches application only)





*COACH & MANAGER INSTRUCTIONAL CLINIC - Date TBA*



(All managers and coaches MUST attend one class) DIVISION ( ) FOAL ( ) SHETLAND

TEAM REQUEST 1st CHOICE

( ) PINTO

2nd CHOICE

( ) MUSTANG ( ) BRONCO ( ) PONY

3rd CHOICE





BRIEF SUMMARY OF EXPERIENCE:





SIGNATURE

DATE



RECEIVED BY PLAYER AGENT

APPROVED DATE

DATE